Application of dementia care mapping (DCM) for one year in a geriatric health services facility: Effects of developmental evaluation based on collaboration by medical and welfare staff aimed at person-centred care

• Published in: Nihon Rōnen Igakkai zasshi Vol. 58; no. 1; p. 70
• Main Authors: Suzuki, Mizue, Asai, Yatami, Uchiyama, Yumiko, Abe, Yumiko, Abe, Kunihiko, Sawaki, Keisuke, Tajima, Akiko
• Format: Journal Article
• Language: Japanese
• Published: Japan 2021
• Subjects: Aged; Dementia - therapy; Health Personnel; Health Services for the Aged; Humans; Patient-Centered Care; Self Care; Dementia care mapping (DCM); Geriatric health services facility; Developmental evaluation; Medical and welfare staff; Person-centered care
• ISSN: 0300-9173
• DOI: 10.3143/geriatrics.58.70

This study aimed to clarify the effects of dementia care mapping (DCM) for one year in a healthcare center for older adults. DCM was conducted between September 2016 and August 2017. The care staff include nurses and caregivers in a narrow sense, medical staff, such as a physician, physical therapists, and occupational therapists worked on DCM as care staff in this study.
There were 24 participants, with an average work experience of 7.21 (±4.74) years. In comparison to the baseline evaluation, the final assessment of self-efficacy through person-centred care showed significant improvement in 'Forecasting and Problem Solving on the Job' within 'Perceived Job Competence of Care Workers'. Six main categories of content were extracted from focus group interviews: 'Awareness,' 'Change of Elderly People under the Care of Staff throughout the Development of Mapping', 'Affirmative Feelings of Care Staff for Mapping', 'Negative Feelings for Mapping', 'Need for the Efficacy and Efficiency of the Mapping', and 'Mapping Based on the Age of the Participant and Future Prospects for Mapping'. The results of person-centred care showed that both the older patients and the staff noticed changes through the development of mapping.
The developmental evaluation, based on collaboration by medical and welfare staff can improve self-efficacy through the practice of person-centred care and improves the ability to solve problems during the provision of care.